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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. �' s• /. Permit Number: / "/ `� ' f✓
RECE111=D
Building Permit Applicoation APR 5 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial lesidentlal
PERMITTYPE:DRIVEWAY
'PROPOSED IMPROVEMENT LOCATION;
Address: 7703 CITRUS PARK BLVD
Property Tax ID#: 1301-607-0122-000-1 Lot No.15
Site Plan Name: Block No. 74
Project Name: DRIVEWAY
DETAILED DESCRIPTION OF`WO'RK. ''� "
CONCRETE SIDE DRIVE 400 SQ FT DOES NOT CROSS PROPERTY LINE
e- i � ,� -UJ-)1 .
CONSTRUCTION INFORMATION:
Additional
work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $3600 Utilities: —Sewer —Septic Building Height:
OWNERAESSE:E: - °CONTRACTOR.
NameJOSEPH CUBOW Name:MARK A. ODOM
Address:7703 CITRUS PARK BLVD Company:MARK A. ODOM CONSTRUCTION INC
City: FT PIERCE State:_ Address:4395 2ND CIRCLE
Zip Code: 34951 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32968 Fax: 772-299-4074
E-Mail: Phone N0772-473-0046
Fill in fee simple Title Holder on next page(if different E-Mail markodomconstructioninc@gmail.com
from the Owner listed above) State or County License CBC01 8696
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR ,CTI,ON LIEN LAW INFORMATION ,
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application-is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE T.
Vuo wner/Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder
F FLORIDA STATE OF FLORIDA / G
COUNTY OF kVQ4- COUNTY OF oC•�� o
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me CO a
this qday of til 20� by this-day of P .20�.by
W 197*94eje_
Name of pers n making statement. Name of person making statement. iR
Personally Known OR Produced Identification Personally Known'' OR Produced Identification
....
Type of Identification 1 Type of Identification
Produced 9.� ygx-S Lc pa� Produced
I
(Si of otary Pu c- a p,, P,, (Signature of tary Public-State of orida
�►a uB.
;''o STEFANIE JOHNS
,`pp `�•.� rX Rublic-State of Florida
Commission No. �9-o�`�O pe`,.` �nlssion N GG 248504 Commission No. (Seal)
My Comm.Expires Aug 14,2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19